院内急性肾损伤患者136例临床分析

Clinical features of 136 inpatients with acute kidney injury

对2005年9月至2008年9月在本院住院期间发生急性肾损伤136例患者的临床资料进行分析。结果示年龄大于65岁的占57．4％（78例）；病因属于肾前性者69例（50．7％），肾性49例（36．0％），肾后性18例（13．3％）；在慢性肾脏病基础上发生急性肾损伤者57例，占总数的41．9％。治疗后有81．6％患者的肾功能得到完全或部分恢复。

Clinical data of 136 inpatients with acute kidney injury （AKI）admitted to the hospital during September 2005 to September 2008 were analyzed. Seventy-eight of 136 cases （57.4%） with AKI aged 65 years or over, and 69 （50. 7% ） with pre-renal injury, 49 （36. 0% ） with renal injury and 18 （ 13.3% ） with post-renal injury, respectively. AKI occurred in 57 cases （41.9%） based on their chronic renal disease. Renal function recovered completely or improved in 111 （81.6%） cases after treatment. The elderly inpatients were tend to suffer from AKI, with the most common cause of pre-renal injury and drugs such as antibiotics and contrast medium used in X-ray imaging. Outcomes of the patients with AKI depends on severity of their kidney injury.